Diamond Hassell, RN
Cleveland
Summary
Registered Nurse with 10 years of clinical experience across outpatient, managed care, community health, home health, and acute care settings. Background includes prior authorization, utilization review, clinical documentation review, telephonic assessment, and care coordination in fast-paced, remote-capable workflows. Skilled in assessing patient needs, applying payer guidelines and benefit criteria, communicating with providers and insurance representatives, and supporting timely, accurate documentation. Well-positioned for roles supporting patient access, insurance verification, and coordinated navigation of treatment approval and completion.
Overview
10
10
years of professional experience
Work History
Endocrinology RN
Cleveland Clinic
Cleveland
11.2023 - Current
- Perform extensive prior authorization and utilization review for outpatient medications, diabetic supplies, and durable medical equipment.
- Collect and analyze clinical documentation to support medical necessity and coverage determination, reducing authorization denials
- Apply payer-specific guidelines, policies, and benefit criteria when submitting authorization requests.
- Conduct telephonic clinical assessments and triage, escalating abnormal findings to physicians/LIPs
- Collaborate with providers, care coordinators, and insurance representatives to facilitate timely care delivery.
- Support transitions of care through interdisciplinary coordination and documentation accuracy.
- Educate patients on treatments plans, insurance coverage, and benefit utilization.
- Utilize multiple electronic systems simultaneously to support efficient workflow.
RN Case Manager
Attentive Home Health
Cleveland
02.2023 - 11.2023
- Conducted comprehensive nursing assessments and documented patient status using OASIS
- Developed and implemented individualized care plans aligned with diagnoses, goals, and payer requirements.
- Participated in multidisciplinary care conferences to support utilization and care planning decisions.
- Educated patients and families on treatment plans, insurance coverage, and benefit navigation. Management of 10 patients daily
- Identified changes in condition requiring care plan modification or provider notification.
Lead Community Health Registered Nurse
Southern Nevada Health District
Las Vegas
05.2021 - 02.2023
- Led population-based clinical operations serving 320,000+ individuals across public health and school systems
- Collaborated with providers and administrators to improve quality, cost-effectiveness, and utilization of services.
- Identified operational improvement opportunities to enhance outcomes and reduce inefficiencies.
- Provided staff training and ensured documentation compliance for audit readiness.
- Supported disease surveillance, clinical data analysis, and interdisciplinary coordination.
Registered Nurse
IntelyCare Health Staffing
Cleveland
07.2020 - 03.2021
- Delivered skilled nursing care across rehabilitation and long-term care settings.
- Managed 20 to 40 patients with complex chronic conditions including CHF, COPD, Diabetes, and renal disease.
- Implemented evidence-based protocols resulting in reduced complications and cost savings.
- Advocated for patients through clear clinical documentation and provider communication.
Registered Nurse
Kindred Hospital
Cleveland
08.2019 - 07.2020
- Provided medical-surgical nursing care for high-acuity patient populations.
- Applied clinical judgment to reduce readmissions and improve patient outcomes.
- Maintained detailed clinical documentation to support treatments decisions and care planning.
- Managed over 10 to 15 patient cases daily.
LPN/RN
The Lantern at Chagrin Memory Care
Chagrin Falls
04.2019 - 01.2020
LPN
Brookdale Senior Living
Cleveland
10.2018 - 04.2019
LPN
Gateway Health Center
Cleveland
10.2016 - 10.2018
Education
Bachelor of Science - Nursing
Touro University Nevada
Henderson, NV10-2022
Associate degree - Nursing
Hondros College of Nursing
10-2018
Licensed Practical Nurse Diploma - Nursing
Hondros College of Nursing
Cleveland, OH12-2015
Skills
- Insurance Verification
- Prior Authorization Review
- Utilization Review
- Clinical Documentation Review
- Medical Necessity Determination
- Payer Guidelines & Benefit Criteria
- Care Coordination
- Telephonic Assessment & Triage
- Patient Education
- Provider Communication
- Insurance Navigation
- Multi-System Workflow Management
- EMR Navigation
- Regulatory Compliance
Timeline
Endocrinology RN
Cleveland Clinic
11.2023 - Current
RN Case Manager
Attentive Home Health
02.2023 - 11.2023
Lead Community Health Registered Nurse
Southern Nevada Health District
05.2021 - 02.2023
Registered Nurse
IntelyCare Health Staffing
07.2020 - 03.2021
Registered Nurse
Kindred Hospital
08.2019 - 07.2020
LPN/RN
The Lantern at Chagrin Memory Care
04.2019 - 01.2020
LPN
Brookdale Senior Living
10.2018 - 04.2019
LPN
Gateway Health Center
10.2016 - 10.2018
Associate degree - Nursing
Hondros College of Nursing
Licensed Practical Nurse Diploma - Nursing
Hondros College of Nursing
Bachelor of Science - Nursing
Touro University Nevada
Licensure
- Registered Nurse (RN) Active and Unrestricted
- Compact Nursing License
- Nevada RN License